NPIMap

Individual provider Active NPI

Sam Yi-Shang Lin, M.D.

  • Sports Medicine (Family Medicine) Physician
  • La Quinta, CA
National Provider Identifier
1649289992
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A64634 Issued in CA
Practice address
79440 Corporate Center Dr Ste 110
La Quinta, CA 92253-7243
Phone
(760) 391-5151
Fax
(760) 775-4818
NPI assigned
Aug 5, 2006
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A64634 CA Primary

Addresses

Primary practice location

79440 Corporate Center Dr Ste 110
La Quinta, CA 92253-7243

Mailing address

81767 Dr Carreon Blvd
Ste 201
Indio, CA 92201-5599
Phone (760) 863-1562

Other practice location 1

79430 Highway 111 Suite 101
LA Quinta, CA 92253-4519
Phone (760) 863-1592 ext. 102

Other practice location 2

41865 Boardwalk Ste 103
Palm Desert, CA 92211-9031
Phone (760) 541-5888

Other practice location 3

81709 Dr Carreon Blvd Ste C3
Indio, CA 92201-5577
Phone (760) 541-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000404 CA Practitioner - Internal MedicinePractitioner - Family Practice 7416045901 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, shared by 12 NPIs, 140 clinicians
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians
Fountain Valley Group Services PCGroup PAC ID 9931427382, 16 clinicians
Coachella Valley Care Medical Associates IncGroup PAC ID 2961627286, 3 clinicians

Practice addresses (Care Compare)

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191

79430 Hwy 111
Suite 101
La Quinta, CA 92253-4549
Phone 7608631592102

81709 Doctor Carreon Blvd
C3
Indio, CA 92201-5577
Phone (760) 775-4181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
97.68
Improvement activities
40
Cost
62.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A64634CAMDSports Medicine (Family Medicine) Physician
35271KYMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Group Services PC CurrentSince Feb 25, 2015 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Desert Trauma Surgeons, Inc. CurrentSince Mar 1, 2024 Accepting new patients
S Lin Medical Consultants Inc CurrentSince Dec 1, 2021 Accepting new patients
Hni Medical Services CurrentSince Sep 1, 2023 Accepting new patients
Tahoe Forest Hospital District CurrentSince Jul 21, 2022 Accepting new patients
Hni Physician Services of Texas, Inc CurrentSince Dec 17, 2021 Accepting new patients
First Choice Physician Partners CurrentSince Dec 16, 2024 Accepting new patients
White Feather Physicians PC CurrentSince Jan 28, 2025 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Jul 21, 2022 Accepting new patients
Coachella Valley Care Medical Associates Inc CurrentSince Jun 1, 2013 Accepting new patients
First Choice Physician Partners CurrentSince Dec 16, 2024 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Indio Emergency Med Group Inc Past Accepting new patients
Indio Emergency Medical Group Inc Past Accepting new patients
East Valley Medical Corp PastSince Mar 31, 2013 Accepting new patients
Coachella Valley Care Medical Associates Inc PastSince Dec 13, 2020 Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81709 Doctor Carreon Blvd
Ste C3
Indio, CA 92201
Phone (760) 342-6404

81767 Doctor Carreon Blvd
Ste 201
Indio, CA 92201

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

6722 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

78365 Highway 111
La Quinta, CA 92253
Phone (760) 217-0955

79430 Highway 111
Ste 101
La Quinta, CA 92253
Phone (760) 564-3533

79440 Corporate Center Dr
Ste 110
La Quinta, CA 92253
Phone (760) 564-3533

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

41865 Boardwalk
Ste 103
Palm Desert, CA 92211
Phone (760) 340-2260

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39000 Bob Hope Dr
#1112
Rancho Mirage, CA 92270
Phone (760) 773-1251

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sam.lin.1@14035.direct.athenahealth.com
  • Direct secure messaging: sam.lin.1@17575.direct.athenahealth.com
  • Direct secure messaging: samlin@iemg.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Desert Springs Healthcare & Wellness CentreIndio, CA, CCN 555084 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 14, 2025
May 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1649289992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "STE 201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015599",
            "telephone_number": "760-863-1562",
            "fax_number": "760-485-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR STE 110",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537243",
            "telephone_number": "760-391-5151",
            "fax_number": "760-775-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79430 Highway 111 Suite 101",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922534519",
            "country_code": "US",
            "telephone_number": "760-863-1592 x102",
            "fax_number": "760-485-1561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41865 Boardwalk Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922119031",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81709 Dr Carreon Blvd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015577",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "SAM",
        "middle_name": "YI-SHANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A64634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.